Provider Demographics
NPI:1023720521
Name:CAREONE SUPPORT COORDINATION
Entity type:Organization
Organization Name:CAREONE SUPPORT COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-757-9996
Mailing Address - Street 1:1619 VAN NESS TER
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4015
Mailing Address - Country:US
Mailing Address - Phone:973-757-9996
Mailing Address - Fax:
Practice Address - Street 1:22 ELIZABETH AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07108-2828
Practice Address - Country:US
Practice Address - Phone:973-757-9996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health